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Underwritten by: UNM Life Insurance Company of America LTC Department 2211 Congress Street, Portland, Maine 04122 NORTH DAKOTA PUBLIC EMPLOYEES RETIREMENT SYSTEM Benefit Election Form Long Term Care
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How to fill out unum benefits election form

How to fill out unum benefits election form:
01
Start by carefully reading the instructions provided on the form. This will help you understand the requirements and process for completing the form accurately.
02
Begin filling out the personal information section of the form, including your full name, address, social security number, and contact information. Double-check for any errors or missing information before proceeding.
03
Move on to the section that requires you to select the specific benefits you are electing. This may include options such as life insurance, disability coverage, or other types of benefits offered by Unum. Carefully review the available choices and select the options that best suit your needs.
04
If there are any sections on the form that require additional information or documentation, make sure to provide the necessary details. This may include details about your dependents, previous coverage, or any other relevant information requested.
05
Review the completed form thoroughly to ensure accuracy. Check for any spelling or numerical errors that may have been overlooked. It's also a good idea to have someone else review the form for any potential mistakes or omissions.
06
Once you are confident that the form is complete and accurate, sign and date it as required. If there are multiple pages to the form, make sure all pages are signed and submitted together.
07
Keep a copy of the completed form for your records before submitting it to the appropriate party or department. This will serve as proof of your election choices and can be helpful for future reference if needed.
Who needs unum benefits election form:
01
Employees who are eligible for benefits through Unum typically need to fill out the benefits election form. This may include newly hired employees, those experiencing a qualifying life event, or employees who are entering an open enrollment period.
02
It is essential for individuals who wish to enroll in or make changes to their benefit plans to complete the form accurately and in a timely manner. This form allows Unum to process and administer the selected benefits effectively.
03
Employers or human resources representatives may also need the benefits election form to accurately document and track employee benefit elections. This ensures proper administration and communication of benefit plans within the organization.
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